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Health First Network, Inc.
Moving Healthcare Forward
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New Resources Available on the Quality Payment Program Website
New Quality Payment Program Resources Are Now Available

The Centers for Medicare & Medicaid Services (CMS) has recently posted the following new and updated resources on the Quality Payment Program website:
• How to Design an APM Toolkit: Provides a detailed and comprehensive set of resources for organizations or individuals interested in developing ideas for Alternative Payment Models (APMs).
• Quality Payment Program Key Objectives: Offers a summary of CMS’ seven strategic objectives for the Quality Payment Program.
• Quality Performance Category Fact Sheet: Provides an overview of the Quality performance category under the Merit-based Incentive Payment System, including how to submit Quality performance data for the 2017 transition year.

Additional resources are available in the Resource Library section of the Quality Payment Program website.
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Electronic Transaction Complaints Report Now Available

August 21, 2017

The Centers for Medicare & Medicaid Services (CMS) has released a report on complaints submitted through the Administrative Simplification Enforcement and Testing Tool (ASETT) from January to July 2017.

The report includes information about the number, type, and status of complaints submitted to ASETT. Individuals and organizations can file complaints against a HIPAA-covered entity for non-compliance with standards for transaction formats, code sets, unique identifiers, and operating rules.
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PROVIDERS TAKE ADVANTAGE OF NEW END-OF-LIFE CMS BILLING CODES

CMS finalized the creation of the new codes in the 2016 physician fee schedule and allowed clinicians to bill Medicare for end-of-life planning conversations. The CMS rates range from $80 to $86 for the first 30 minutes and about $75 for each additional 30 minutes.
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EHR Incentive Program Hardship Exception Application Due by October 1

August 11, 2017

Eligible professionals (EPs) who are first-time participants in the Medicare Electronic Health Record (EHR) Incentive Program in 2017 are eligible to apply for a one-time hardship exception by October 1, 2017. A first-time EP may apply for this one-time significant hardship to avoid a 2018 payment adjustment if:

• The EP is a first-time participant in the EHR Incentive Program in CY 2017 and intends to participate in the Medicare EHR Incentive Program in CY 2017
• The EP is transitioning to Merit-based Incentive Payment System (MIPS) for the 2017 performance period
• The EP intends to report on measures specified for the Advancing Care Information performance category under the MIPS in 2017
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Quality Payment Program Hardship Exception Application for the 2017 Transition Year Now Available Online

August 4, 2017

The Quality Payment Program Hardship Exception Application for the 2017 transition year is now available online.

MIPS eligible clinicians and groups may qualify for a reweighting of their Advancing Care Information performance category score to 0% of the final score, and can submit a hardship exception application, for one of the following specified reasons:
• Insufficient internet connectivity
• Extreme and uncontrollable circumstances
• Lack of control over the availability of Certified EHR Technology (CEHRT)

There are some MIPS eligible clinicians who are considered Special Status, who will be automatically reweighted (or, exempted in the case of MIPS eligible clinicians participating in a MIPS APM) and do not need to submit a Quality Payment Program Hardship Exception Application.

For 2017 Special Status clinicians include the following:
• Hospital-based MIPS-eligible clinicians
• Physician assistants
• Nurse practitioners
• Clinical nurse specialists
• Certified registered nurse anesthetists
• Non-patient facing clinicians
• PROPOSED in Quality Payment Program Year 2 (82 FR 30077): Ambulatory Surgical Center (ASC) Based MIPS-Eligible Clinicians.


Health First Network, Inc. has moved to a new location

July 24, 2017

Health First Network has moved to its new location at 25 W. Cedar St., Ste. 515, Pensacola, FL 32502.

Please note our mailing address will remain the same: PO Box 11427, Pensacola, FL 32524-1427.
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Chronic Care Management Services Fact Sheet

July 20, 2017

Learn about separately payable services for non-face-to-face coordinated care for Medicare beneficiaries with multiple chronic conditions; CCM Codes; Physician Fee Schedule Billing Requirements; Practitioner and Patient Eligibility; and CCM Service Elements.
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MIPS QUICK START GUIDE

July 10, 2017

The MIPS Quick Start Guide outlines the steps MIPS clinicians need to take between now and March 2018 to prepare for and participate in MIPS, including checking participation status, choosing to participate as an individual or as part of a group, deciding how to submit data, and selecting measures and activities.
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